LIVE COUNSELING & MEDIATION
NPI 1275842254
Social Worker - Clinical in Albuquerque, NM

Active since September 24, 2010
4004 CARLISLE BLVD NE STE C6, ALBUQUERQUE, NM 87107(505) 717-7227(505) 404-7897 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Live Counseling & Mediation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE COUNSELING & MEDIATION (NPI 1275842254) is a healthcare organization registered as a clinical in Albuquerque, New Mexico and active in the NPI registry since September 2010. The organization lists Michael W. Ollom, Member, as its authorized official.

NPPES Registry Identity

NPI1275842254
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIVE, LLC
Location Address4004 CARLISLE BLVD NE STE C6Albuquerque, NM 87107-4565
Mailing AddressPo Box 35144Albuquerque, NM 87176-5144 · (505) 717-7227 · Fax (505) 404-7897
Fax(505) 404-7897
Organization SubpartNo
Authorized OfficialMichael W. OllomMember · (505) 717-7227
Enumeration DateSeptember 24, 2010
Last NPPES UpdateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
NPI 1275842254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NM · I-05823
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4004 CARLISLE BLVD NE STE C6, Albuquerque, NM 87107

Other Names 1

Other NameLive Counseling & Mediation

Other Identifiers 1

Medicaid49626019NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275842254, enumerated as an "organization" on September 24, 2010.

The provider is located at 4004 CARLISLE BLVD NE STE C6 ALBUQUERQUE, NM 87107 and the phone number is (505) 717-7227.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.